Organization · Type 2 NPI

Washington Regional Medical System

General Practice Physician · Fayetteville, AR

NPI number 1699139345 Active

Practice location

3561 Johnson Mill Blvd, Suite 102
Fayetteville, AR 72703

Call (479) 463-4900 Map

Fax (479) 463-4910

Mailing address

PO Box 550
Lowell, AR 72745

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1699139345
Entity type: Organization (Type 2)
Issued: Apr 8, 2016
Last updated: May 15, 2018
Status: Active

Other names

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Johnson Urgent Care - Washington Regional · doing business as
Johnson Urgent Care - Washington Regional · doing business as

Authorized official

Dan Eckels
CFO
(479) 968-8279

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699139345

Washington Regional Medical System's National Provider Identifier is 1699139345, issued on Apr 8, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fayetteville, AR. The record was last updated on May 15, 2018.